Abstract
This study sought to determine the relationship between body mass index (BMI) fluctuation and cardiovascular disease phenotypes, diabetes, and depression and the role of genetic and environmental factors in individual differences in BMI fluctuation using the extended twin-family model (ETFM). This study included 14,763 twins and their relatives. Health and Lifestyle Questionnaires were obtained from 28,492 individuals from the Virginia 30,000 dataset including twins, parents, siblings, spouses, and children of twins. Self-report cardiovascular disease, diabetes, and depression data were available. From self-reported height and weight, BMI fluctuation was calculated as the difference between highest and lowest BMI after age 18, for individuals 18–80 years. Logistic regression analyses were used to determine the relationship between BMI fluctuation and disease status. The ETFM was used to estimate the significance and contribution of genetic and environmental factors, cultural transmission, and assortative mating components to BMI fluctuation, while controlling for age. We tested sex differences in additive and dominant genetic effects, parental, non-parental, twin, and unique environmental effects. BMI fluctuation was highly associated with disease status, independent of BMI. Genetic effects accounted for ~34 % of variance in BMI fluctuation in males and ~43 % of variance in females. The majority of the variance was accounted for by environmental factors, about a third of which were shared among twins. Assortative mating, and cultural transmission accounted for only a small proportion of variance in this phenotype. Since there are substantial health risks associated with BMI fluctuation and environmental components of BMI fluctuation account for over 60 % of variance in males and over 50 % of variance in females, environmental risk factors may be appropriate targets to reduce BMI fluctuation.
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Allison DB, Kaprio J, Korkeila M, Koskenvuo M, Neale MC, Hayakawa K (1996) The heritability of body mass index among an international sample of monozygotic twins reared apart. Int J Obes Relat Metab Disord 20(6):501–506
Blair SN, Shaten J, Brownell K, Collins G, Lissner L (1993) Body weight change, all-cause mortality, and cause-specific mortality in the Multiple Risk Factor Intervention Trial. Ann Intern Med 119(7 Pt 2):749–757
Boker S, Neale MC, Maes HH, Wilde M, Spiegel M, Brick T, Spies J, Estabrook R, Kenny S, Bates T, Mehta P, Fox J (2011) OpenMx: an open source extended structural equation modeling framework. Psychometrika 76(2):306–317
Diaz VA, Mainous AG III, Everett CJ (2005) The association between weight fluctuation and mortality: results from a population-based cohort study. J Community Health 30(3):153–165
Eaves LJ, Eysenck HJ, Martin NG (1989) Genes, culture and personality: am empirical approach. Oxford University Press, London
Field AE, Coakley EH, Must A, Spadano JL, Laird N, Dietz WH, Rimm E, Colditz GA (2001) Impact of overweight on the risk of developing common chronic diseases during a 10-year period. Arch Intern Med 161(13):1581–1586
Finkelstein EA, DiBonaventura M, Burgess SM, Hale BC (2010) The costs of obesity in the workplace. J Occup Environ Med 52(10):971–976
Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB (2003) Years of life lost due to obesity. JAMA 289(2):187–193
Freedman DM, Ron E, Ballard-Barbash R, Doody MM, Linet MS (2006) Body mass index and all-cause mortality in a nationwide US cohort. Int J Obes (Lond) 30(5):822–829
Jeffery RW, Drewnowski A, Epstein LH, Stunkard AJ, Wilson GT, Wing RR, Hill DR (2000) Long-term maintenance of weight loss: current status. Health Psychol 19(1 Suppl):5–16
Keller MC, Medland SE, Duncan LE, Hatemi PK, Neale MC, Maes HH, Eaves LJ (2009) Modeling extended twin family data I: description of the Cascade model. Twin Res Hum Genet 12(1):8–18
Lee IM, Paffenbarger RS Jr (1992) Change in body weight and longevity. JAMA 268(15):2045–2049
Lightwood J, Bibbins-Domingo K, Coxson P, Wang YC, Williams L, Goldman L (2009) Forecasting the future economic burden of current adolescent overweight: an estimate of the coronary heart disease policy model. Am J Public Health 99(12):2230–2237
Lissner L, Odell PM, D’Agostino RB, Stokes J III, Kreger BE, Belanger AJ, Brownell KD (1991) Variability of body weight and health outcomes in the Framingham population. N Engl J Med 324(26):1839–1844
Maes HH, Neale MC, Eaves LJ (1997) Genetic and environmental factors in relative body weight and human adiposity. Behav Genet 27(4):325–351
Maes HH, Neale MC, Kendler KS, Martin NG, Heath AC, Eaves LJ (2006) Genetic and cultural transmission of smoking initiation: an extended twin kinship model. Behav Genet 36(6):795–808
Maes HH, Neale MC, Medland SE, Keller MC, Martin NG, Heath AC, Eaves LJ (2009) Flexible Mx specification of various extended twin kinship designs. Twin Res Hum Genet 12(1):26–34
Neale M, Cardon L (1992) Methodology for genetic studies of twins and families. Kluwer Academic Publishers B.V., Dordrecht
Neale M, Maes H (1998) Methodology for genetic studies of twins and families. Kluwer Academic Publishers B.V., Dordrecht
Neovius M, Sundstrom J, Rasmussen F (2009) Combined effects of overweight and smoking in late adolescence on subsequent mortality: nationwide cohort study. BMJ 338:b496
R Development Core Team (2010) R: a language and environment for statistical computing. In: R foundation for statistical computing, Vienna, Austria
Reis JP, Macera CA, Araneta MR, Lindsay SP, Marshall SJ, Wingard DL (2009) Comparison of overall obesity and body fat distribution in predicting risk of mortality. Obesity (Silver Spring) 17(6):1232–1239
SAS Institute Inc (2004) SAS/STAT® Software: Version 9. SAS Institute, Inc., Cary
Schwimmer JB, Burwinkle TM, Varni JW (2003) Health-related quality of life of severely obese children and adolescents. JAMA 289(14):1813–1819
Seidell JC, Hautvast JG, Deurenberg P (1989) Overweight: fat distribution and health risks. Epidemiological observations. A review. Infusionstherapie 16(6):276–281
Stunkard AJ, Foch TT, Hrubec Z (1986) A twin study of human obesity. JAMA 256(1):51–54
Truett K, Eaves L, Walters E, Heath A, Hewitt J, Meyer J, Silberg J, Neale M, Martin N, Kendler K (1994) A model system for analysis of family resemblance in extended kinships of twins. Behav Genet 24:35–49
Whitlock G, Lewington S, Sherliker P, Clarke R, Emberson J, Halsey J, Qizilbash N, Collins R, Peto R (2009) Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet 373(9669):1083–1096
Wing RR, Phelan S (2005) Long-term weight loss maintenance. Am J Clin Nutr 82(1 Suppl):222S–225S
Yarnell JW, Patterson CC, Thomas HF, Sweetnam PM (2000) Comparison of weight in middle age, weight at 18 years, and weight change between, in predicting subsequent 14 year mortality and coronary events: Caerphilly Prospective Study. J Epidemiol Community Health 54(5):344–348
Zhang H, Tamakoshi K, Yatsuya H, Murata C, Wada K, Otsuka R, Nagasawa N, Ishikawa M, Sugiura K, Matsushita K, Hori Y, Kondo T, Toyoshima H (2005) Long-term body weight fluctuation is associated with metabolic syndrome independent of current body mass index among Japanese men. Circ J 69(1):13–18
Acknowledgments
Dr. Bergin was supported by T32MH20030 (PI: Michael C. Neale) and 5R37DA018673 (PI: Michael C. Neale). Data collection and model development was supported by Grants GM-30250, AG-04954, AA-06781, MH-40828, and HL-48148 from the National Institutes of Health and a gift from RJR Nabisco. We would like to thank all the participants who made this research possible.
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Edited by David Allison.
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Bergin, J.E., Neale, M.C., Eaves, L.J. et al. Genetic and Environmental Transmission of Body Mass Index Fluctuation. Behav Genet 42, 867–874 (2012). https://doi.org/10.1007/s10519-012-9567-5
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DOI: https://doi.org/10.1007/s10519-012-9567-5